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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<;,1 438
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I Block I Ward
H-
ot
Plumber
¡LoiHoo
I AddUion or Re¡>lat
Date
OUTSIDE WORK
NEW SEwn WATE. STORMS FEES FEES .ElAY S. SEWE. WATE. STORMS FEES
From MaIn to Curb Seplic Tanks From Moin to Curb
IWm Curb 10 BuDding Eleclric Pumps From Curb to Building
Repair .------ ¡u---u
INSIDE WORK
NO.
NEW
..,-
"ES
NEW
.E,- I USED
NO.
FEES
USED
NO-
Bath Tub
Garbage Dlsposala
Dlshwuhers
Catch Bulns
Wuh Buin
Conductors
Wat.. Cl_t
Laundramats
Gre... Catch Bulns
SbIk
Water Softener.
Sump Pump Be Ejectors
Water Heaters
Sanilary Bubblers
Bar and Soda Wute.
Show.. Baths
Urinals
Floor Dralm
Laundry Tuba
Denial Cuspidors
ServIce Sinks
NEW
USED
FEES
.E'-
~
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Valuation of Ihe Work Herein Described
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"
Received PermU and Inspection F-
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b .Øl 7 -77
Fee Verified, Receipted and Recorded
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City T,."".,
Date
In the parformance of this work the undersigned owner (or his authorized agent) of ,aid premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other uses will be mede of the above connections except as _hereinafter listed.--
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Own.. 0 ..-,," ~J>~rl'l""'Y / --------
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